MISS TINA MARIE HICKEY (NPI# 1457649014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457649014 |
| Entity Type | Individual |
| Full Name | MISS TINA MARIE HICKEY |
| Practice Address |
647 S Prairie St Jacksonville IL 62650-2870 |
| Practice Telephone | 2172455095 |
| Practice Fax Number | 2172455095 |
| Mailing Telephone | 2172455095 |
| Mailing Fax Number | 2172455095 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
647 S PRAIRIE ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789662 | Guidewell, Inc. | Early Intervention Provider Agency | 4855 Town Center Pkwy, Jacksonville, FL 32246-8437 | 2018-11-14 |
| 1639687916 | Rachael Renee Dean | Early Intervention Provider Agency | 1943 Baldwin Rd, Jacksonville, IL 62650-6041 | 2018-01-20 |
| 1902257785 | Northeast Florida Area Agency On Aging | Early Intervention Provider Agency | 10688 Old Saint Augustine Rd, Jacksonville, FL 32257-1004 | 2016-06-23 |
| 1619360344 | Kelly Wilkinson | Early Intervention Provider Agency | 8443 Baymeadows Rd Ste 1, Jacksonville, FL 32256-7440 | 2015-03-04 |
| 1528463072 | Episcopal Children's Services | Early Intervention Provider Agency | 8443 Baymeadows Rd, Suite 1, Jacksonville, FL 32256-7440 | 2014-10-27 |
| 1235377888 | Aspirations | Early Intervention Provider Agency | 2444 Commerce Rd., Suite 232, Jacksonville, NC 28546 | 2009-02-04 |
| 1134321664 | Jharman Lightner | Early Intervention Provider Agency | 531 W Union St, Jacksonville, FL 32202-4047 | 2007-06-05 |
| 1447249784 | Small Talk Inc | Early Intervention Provider Agency | 8777 San Jose Blvd Ste 701, Jacksonville, FL 32217-4292 | 2005-10-19 |
| 1144717497 | Surrendering Minds LLC | Early Intervention Provider Agency | 11627 Hickory Oak Dr, Jacksonville, FL 32218-9078 | 2018-04-21 |
| 1013423201 | Pinnacle Behavior Therapy, LLC | Early Intervention Provider Agency | 8539 Gate Pkwy W Unit 9311, Jacksonville, FL 32216-1040 | 2017-12-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on MISS TINA MARIE HICKEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.